Ansara Golf Association of Malaysia Registration Form
Member Registration - Ansara Golf Association of Malayisa
ALL ANSARA GOLFERS !

Hurry up, register to become a prestigous life-time member of Ansara Golf Association of Malaysia.

Only RM 200 (life-time). Don't miss it !

Fill up and submit your detail below and Bank in or Cash Payment of RM200.00 to :-

CIMB 8603031561
Persatuan Golf Ansara Malaysia

And, Whatsapp/Email your :-

1. Payment Slip (MUST)
2. Personal Photo (MUST)
3. Name, Contact No. as filled in Registration Form (MUST)

to :-
Chaiyaq
016-322 0764
chairil1970@gmail.com

Iskandar
012-362 7894
iskandaqq@yahoo.com.my

Dania
017-332 5313
daniasofia9@gmail.com

Easy !

See You !

Full Name :
E.g. : Mohd Ali Bin Ahmad
Your answer
Mobile No. :
E.g. : 012-345 6789
Your answer
Company (Organization) :
E.g. : ABC Sdn Bhd
Your answer
Position/Post :
E.g. : Head of Engineering
Your answer
Emergency No. :
E.g. : 013-234 5678
Your answer
Email Address :
Your answer
Postal Address :
Your answer
Which Ansara were you from ?
E.g. Ansara Jasin/TGB
Your answer
SPM Year ?
E.g. 1987
Your answer
Thank You !!
Submit
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